Experience working with Milliman guidelines or other regulatory protocols, claims processing, medical coding and interpreting...
in accordance with the Utilization Management Plan and regulatory requirements. Apply Milliman Care Guidelines and payer-specific...
, discharge planning or nursing management, preferred. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
Required Required Experience using InterQual or Milliman Required Licenses and Certifications Licensure or eligible for licensure, in the state...
. At least one year experience in case management, discharge planning or nursing management, preferred. Knowledge of Milliman Criteria...
years of acute care nursing experience. preferred CCM or obtained within 1year Knowledge of Milliman Criteria...
. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
Management experience Case Management experience Knowledge of Milliman Criteria Certified Case Manager (CCM...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...